Membership Application Form

Please read the statements below carefully.

If my application is approved by the club committee, I will:

abide by the club rules and respect the authority of the club officers.

recognise that cycling is a potentially dangerous pastime and I shall not hold the Weston Wheelers Cycling Club, it’s officers or officials responsible for any loss or injury incurred whilst participating in club activities.

agree to my membership details being stored electronically.

agree to assist in the running of the club and club events.

If you happy with the above, please complete the form below. Please enter something in all 'required' boxes, N/A or none if necessary.

Note: Sometimes the form doesn't work properly. If you do not receive a response in a couple of days, please email the secretary directly "secretary.weston.wheelers@gmail.com"

Name *

First

Last

Preferred name *

Address *

Telephone *

Email *

Date of Birth *

Please list any cycling related organisation that you are connected to; e.g. Strava, British Cycling.

Social media used; Facebook, Twitter etc. Please list.

Emergency Contact : Name *

Emergency Contact : Tel No. *

Relevent medical (Enter brief description or None) *

Which aspects of cycling are of interest to you?

Audax

Mountain Biking

Cyclocross

Road Racing

Track Racing

Time Trials

Please list any particular skills and experience that may be of benefit to the club (Web design, bike maintenance, etc)